Intraurethral Alprostadil Training

Jun 30, 2017 by in UROLOGY Comments Off on Intraurethral Alprostadil Training

Fig. 16.1 Illustration of the device While gently stretching the penis , the applicator can be placed within the urethra (Fig. 16.2); at this point, it is safe to press…

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Focused Genital Exam

Jun 30, 2017 by in UROLOGY Comments Off on Focused Genital Exam

History of medical comorbidities (especially vascular risk factors) Congenital or childhood diseases Psychological disorders (anxiety, depression) Prior surgeries (especially pelvic or genital) Medications Social (smoking, alcohol, recreational drugs, occupational exposures)…

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Vacuum Erection Device Training

Jun 30, 2017 by in UROLOGY Comments Off on Vacuum Erection Device Training

Fig. 14.1 Picture of device and parts Procedure Once the device is assembled (Fig. 14.2), the constriction ring should be placed on the base of the pump, using lubrication to…

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Penile Traction Device Training

Jun 30, 2017 by in UROLOGY Comments Off on Penile Traction Device Training

Fig. 15.1 Picture of device and parts Fig. 15.2 Picture of device placement on penis Post-procedural Management andInstructions Patients should add 0.5–1 cm extenders to the device every 2–4 weeks,…

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Intramuscular Testosterone Training

Jun 30, 2017 by in UROLOGY Comments Off on Intramuscular Testosterone Training

Fig. 13.1 Picture of necessary equipment arranged on tray 1. Two alcohol swabs   2. One multidose vial of testosterone cypionate (200 mg/1 mL)   3. 1 ml Tuberculin syringe…

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Nonsurgical Sperm Retrieval

Jun 30, 2017 by in UROLOGY Comments Off on Nonsurgical Sperm Retrieval

Fig. 9.1 Epididymal sperm aspiration After anesthesia has been delivered, the testicle and epididymis should be secured between the thumb and index fingers. A 21 gauge butterfly needle attached to…

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Nocturnal Penile Tumescence

Jun 30, 2017 by in UROLOGY Comments Off on Nocturnal Penile Tumescence

Fig. 3.1 Rigiscan® Plus device (GOTOP Medical, Inc., St. Paul, MN, USA) Procedure Prior to sleeping, the unit is secured to the patient’s thigh in a pouch worn on the…

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Spermatic Cord Block

Jun 30, 2017 by in UROLOGY Comments Off on Spermatic Cord Block

Fig. 5.1 Illustrations of hand position and injection location Complications 1. Ecchymosis and hematoma—maintain pressure on the injected region to minimize.   2. Incomplete anesthesia —repeat block. Careful not to…

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